STUVIA 2024/2025
NUR 211 Quiz 5
"I will include vitamin E rich foods in my diet."
Rationale: This statement needs clarification because vitamin E rich foods do not prevent
osteoporosis. - ✔✔A nurse in a clinic is teaching a postmenopausal client about prevention of
osteoporosis. Which of the following statements by the client requires clarification of the teaching?
"I will avoid very high protein diets."
"I will select foods which have high calcium content."
"I will limit my intake of soft drinks."
"I will include vitamin E rich foods in my diet."
"Monitor for compression fractures of the back and neck."
Rationale: High-dose, long-term use of glucocorticoids can result in bone loss in the back and neck
Rationale: Clients who do not have diabetes mellitus should have blood glucose levels checked for
%
hyperglycemia, not hypoglycemia, at least twice yearly, because of the medications effect glucose
production and utilization.Rationale: Clients who are taking glucocorticoids may have increased
susceptibility to infection due to the suppression of both the immune system and neutrophils
production to fight infection.
Rationale: Clients who are taking high-dose, long-term use of glucocorticoids decreases the intestinal
absorption of calcium; therefore, calcium supplements with vitamin D are recommended. - ✔✔A
nurse is teaching with a client about taking high doses of oral glucocorticoids for an extended period
of time to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the
teaching?
"Plan to check blood glucose levels for hypoglycemia once yearly."
"Glucocorticoids will boost immunity."
"Limit the intake of calcium rich foods while taking the medication."
"Monitor for compression fractures of the back and neck."
A chronic autoimmune disease causing inflammation of connective tissue. - ✔✔Rheumatoid Arthritis
(RA)
stuvia
, STUVIA 2024/2025
Adverse effects: cytotoxic (toxic to living cells), immunosuppressive agent - more susceptible to
infection, cardio toxic
It is used to treat lupus - ✔✔What are some adverse effects of cyclophosphamide and what is it
used to treat?
Aging
Caffeine intake
Secondhand smoke
Long term steroid use
Rationale: Sedentary lifestyle is correct. Immobility depletes bone. Obesity is incorrect. Women who
are obese have a greater capacity for storing estrogen to help maintain acceptable levels of calcium.
Aging is correct. Women lose bone due to estrogen depletion after menopause. Caffeine intake is
correct. Excessive caffeine intake causes calcium loss in the urine. Secondhand smoke is correct.
Smoking is a risk factor for osteoporosis, both active and passive (secondhand) smoking. Long term
steroid use is correct, this places the client at risk for bone demineralization with long term use. -
✔✔A nurse in a providers office is talking with a client about risk factors for osteoporosis. Which of
the following factors should the nurse include? (select all that apply)
%
Aging
Caffeine intake
Secondhand smoke
Obesity
Long term steroid use
ANA - AntiNuclear antibody
Anti DNA - specific to lupus - ✔✔What are some labratory tests to test for SLE?
Anyone is at risk.
Repeated exposure
Family history - ✔✔Risk factors for hypersensitivity reactions:
Assess airway, respiratory status, O2 saturation, vital signs, call for support team
Administer epinephrine (subcutaneous) or IV if severe repeat as needed every 5-15 minutes until
client responds
stuvia
, STUVIA 2024/2025
Apply O2 via high flow non-rebreather mask at 100%, set up suction and may need intubation
supplies
Start an IV if the client does not have one
Elevate the HOB 45 degrees or higher if blood pressure is stable- if hypotensive, elevate HOB to
about 10 degrees.
Raise feet and legs
Stay with patient and reassure patient - ✔✔Emergency care of anaphylaxis:
Blurry Vision
Rationale: When using the urgent vs non-urgent approach to client care, the nurse should determine
that the priority finding to report to the provider is blurred vision, as this is a manifestation of
hydroxychloroquine toxicity and can be an indication of retinal damage. - ✔✔A nurse is assessing a
client who is taking hydroxychloroquine. The nurse should report which of the following adverse
effects to the provider immediately?
Blurry vision
Diarrhea
%
Fatigue
Pruritus
Butterfly rash on face (Malar rash)
Scalp rashses and bald area
Polyarthritis (inflammation of joint) - usually on non-erosive joint surfaces
Hypertension, pericarditis, and dysrhythmias - ✔✔What are some clinical manifestations of systemic
lupus erythematosus?
Chronic pain
Fatigue
Ineffective role performance
Disturbed body image
Impaired physical mobility
Anxiety
Activity intolerance
Self-care deficit - ✔✔What are some nursing diagnoses for Rheumatoid arthritis?
stuvia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
